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Indiana rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Facilitymedian $4,467 · 10th–90th $2,089–$5,4950%20%40%10th90th$4,467Professionalmedian $2,239 · 10th–90th $1,950–$3,7150%20%40%10th90th$2,239$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,187.76 / $3,311.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,466.84 / $5,623.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,691.53 / $4,677.35
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,754.40 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,090.30 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $3,890.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,019.95 / $3,630.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,187.76 / $3,162.28